Middle School Entrance Test Registration

Required

Student's Namerequired

First Name

Middle (optional)

Last Name

Student's Current Grade:

Student's Current Schoolrequired

Student's Date of Birth

Must contain a date in M/D/YYYY format

Parent Email Address:required

Primary Phone:required

Must contain only letters, numbers and spaces

Street Address:required

City/Town:required

State:required

Zip:required

Parent Name:required

Prefix

First Name

Last Name

Testing Fee:required

Fee (includes 3% processing fee) ($77.25)

Testing Date:requiredYour daughter will be testing at The Ursuline School.

Saturday, February 1

Your daughter will be testing at The Ursuline School.

Please complete captcha below to proceed to payment selection.

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year